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1 Using Equipment to Help in Daily Activities after Your Total Knee Replacement You may need to use adaptive equipment to help you with your daily activities because you are not able to move or bend over easily. Reaching If you are not able to get items from cabinets or off the floor, use self-help devices such as a reacher. Rearrange your cupboards so that items you use most often are within convenient reach. If you cannot get an item with your reacher, ask someone for help. Dressing Several types of devices are available to help you be as independent as possible when dressing. Your therapist may suggest other self-help devices. If you have trouble reaching your feet, wear slipon shoes or use elastic shoelaces so you will not have to bend over to tie your shoes. Learn more about your health care. More on next page Copyright August 5, The Ohio State University Wexner Medical Center - Upon request all patient education handouts are available in other formats for people with special hearing, vision and language needs, call (614)

2 Page 2 A long-handled shoe horn will help you put shoes on or take stockings and socks off. A dressing stick may be used to put on pants. Use the hook to catch the waist of underwear or pants. Place your operative leg first in the pants when dressing, and take it out last when undressing. Pull the slacks up over your knees. Stand with the walker in front of you and pull your slacks up. Socks and Stockings A stocking aid will make it easier to put on socks or stockings. Elastic stockings may be ordered for you. Slide the sock or stocking onto the stocking aid. Be sure the heel is at the back of the plastic and the toe is tight against the end. Secure the sock in place with the notches on the plastic piece. Do not pull the top of the sock over the top of the plastic piece. Holding onto the cords, drop the stocking aid out in front of the operated foot. Slip your foot into the sock and pull it on.

3 Page 3 Release the sock from the notches on the plastic piece using your dressing stick or a reacher. To take the stocking or sock off, use the hook on the dressing stick or reacher to hook the back of the heel and push the sock off your foot. Using the Bathroom You will need assistance to walk to the bathroom while in the hospital. The toilets at the hospital are of proper height. A raised toilet seat may be helpful at home. Bathing Unless you have a walk-in shower, you will have to learn a new method for getting in and out of the bathtub. You will be shown the proper method before being discharged from the hospital. When you get home, refer to the instructions below before bathing. Talk with your doctor or therapist about what bathing method is best for you. If possible, have someone help you the first time you bathe at home. You may sponge bathe until you are comfortable or have help to shower. If you have a walk-in shower, you may stand and shower as long as you feel steady and balanced. If you have a tub shower and need to sit to bathe, you will need a shower bench. Make sure the shower bench is placed firmly in the tub. Have someone adjust the height of the shower bench so it is as tall as it can be to allow you to rest your feet comfortably on the floor of the tub when you are sitting. Have someone put non-skid strips or pads in your bathtub for safety. Have a secure place to put your soap to avoid dropping it. Try soap on a rope or a deep soap dish. These items are sold at many department stores.

4 Page 4 Use a long-handled sponge or bath brush to reach your lower legs and feet without bending more than 90 degrees at your hips. A portable shower hose may be helpful. Turn on cold water first to avoid burning yourself. Using a Shower Bench 1. Place the shower bench firmly in the tub. Stand with your back toward the bathtub. Be sure to have someone with you to hold the bench steady. 2. Slowly lower yourself onto the bath bench, sliding your operative foot forward as you sit.

5 Page 5 3. You may be advised to support your operative leg with your good leg. If so, place your good leg under your operative leg. Remember to keep your knees apart and cross only your ankles. 4. Slide back and make sure you are in a safe sitting position. Swing your legs into the tub or have your helper lower your foot to the floor of the tub. 5. To get out of the tub, have someone lift your operative leg out and place your feet flat on the floor before you stand. Getting In and Out of Bed Before your discharge from the hospital, the physical therapist will show you how to get in and out of bed safely. A hospital bed may be needed at home. Your physical therapist, nurse and case manager will talk with you about this if needed. Some people find it helpful to wear pajamas made of silky materials to help them slide more easily on the sheets. Getting Into a Car It is important to know how to get into the car in a safe manner. It is better for you to ride in a mid-size or large car with regular bench seats rather than bucket seats. Use a thick pillow or cushion. On a long trip, be sure to make frequent rest stops, about every 30 minutes. Get out and shift your weight from one leg to the other or walk around.

6 Page 6 To get into the back seat, first lower onto the seat in a semi-reclining position. You will need to use your non-operative leg and scoot yourself farther back across the seat. To get into the front seat, enter the car on the passenger side and make sure the seat is as far back as possible. Recline the seat back as much as you can so you will be able to scoot up the back of the seat. 1. Stand with your back toward the car. Put your operative leg out ahead of you and slowly sit. 2. Scoot back on the seat then swing your legs into the car, first one leg then the other. Use the backs of the seats like arm rests to support yourself as you sit. If you have extra long legs, be sure to scoot back as far as you can. Talk to your doctor or others on your health care team if you have questions. You may request more written information from the Library for Health Information at (614) or

Guidelines for Knee Rehabilitation Full recovery from your total knee replacement surgery is going to take months. The information in this section will help you understand your recovery and care at home.

Guidelines For Knee Rehabilitation Full recovery from your total knee replacement surgery is going to take months. The information in this section will help you understand your recovery and care at home.

PENN ORTHOPAEDICS TOTAL HIP REPLACEMENT Home Exercise Program Maintain Your 3 HIP PRECAUTIONS! The purpose of your hip precautions is to allow for the best healing and the most successful outcomes from

Aquatic Exercises: Lower Body Strengthening These exercises will strengthen the muscles in your legs, hips, abdomen and buttocks. Exercising in water allows you to have less stress on your joints. When

PENN ORTHOPAEDICS TOTAL KNEE REPLACEMENT Home Exercise Program PENN ORTHOPAEDICS TOTAL KNEE REPLACEMENT HOME EXERCISE PROGRAM To get the best results from your surgery, it is important that you do your

Walking after Total Knee Replacement After your TKR, continue using your walker or crutches until your surgeons tells you it is okay to stop using them. When turning with a walker or crutches DO NOT PIVOT

Do s and Don ts with Low Back Pain Sitting Sit as little as possible and then only for short periods. Place a supportive towel roll at the belt line of the back especially when sitting in a car. When getting

Exercises after Hip Replacement Your therapist will teach you some exercises you need to do before you leave the hospital. Other exercises will be started weeks after your surgery. Follow the guidelines

Walkers, Crutches, Canes These devices provide support through your arms to limit the amount of weight on your operated hip. Initially, after a total hip replacement you will use a walker to get around.

YOU AND YOUR HIP REPLACEMENT PLEASE BRING THIS BOOKLET WITH YOU TO THE HOSPITAL N/19/Surg/Ortho/-/HipReplacement/Any/10-06/V1/booklet The Niagara Health System (NHS) and Hamilton Niagara Haldimand Brant

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Core Stretches Warm up: Warm up can include activities such as: walking around the room, stepping side to side, riding a bike for 5 minutes, or walking on the treadmill for 5 minutes. Remember to breathe

Strengthening Exercises - Below Knee Amputation These exercises will help you strengthen your muscles to best use your prosthetic leg. Do these exercises as directed by your therapist or doctor. Do the

Exercises Before and After Surgery Upper Extremity Exercise Do this exercise before surgery. Exercising of the arms will help you use a walker or crutches. Strengthening your arms will make it easier as

Leg Strengthening Exercises This exercise program has been designed for you by your physical therapist. Do only the exercises marked. Do them slowly and smoothly on a firm surface. Never hold your breath

Cardiac Rehab Program: Stretching Exercises Walk around the room, step side to side, ride a bike or walk on a treadmill for at least 5 minutes to warm up before doing these stretches. Stretch warm muscles

Bedrest Exercises for Pregnancy A simple exercise program will keep your muscles toned and improve your circulation while you are on bedrest. It helps your body: Tone muscles to reduce stiffness and muscle

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Total Hip Replacement Exercise Guide This exercise booklet contains the approved exercise program for your hip joint replacement. This booklet is only a guide and does NOT replace any advice or instructions

AFTER TOTAL HIP REPLACEMENT Living with Your New Hip Getting Back in Step By having a total hip replacement, you re taking the first step toward returning to an active lifestyle. The next step is rehabilitation

Exercises to Strengthen Your Shoulder Do the exercises times a day with: Right arm Left arm Both arms Repeat each exercise times. Hold each position for seconds. If you prefer, the exercises done lying

PATIENT HANDBOOK AND JOURNAL EQUIPMENT EQUIPMENT NEEDED Welcome to the Post-Surgical Department at OrthoCarolina. Your physician may order the following equipment for your recovery needs following your

Home Care after Total Joint Replacement Follow these guidelines for care as your new joint heals over the next 6 to 8 weeks. Do not try to overdo or push yourself beyond the limits of pain. Home Care You

General Guidelines for Recovery After Foot or Ankle Surgery In these past weeks, you have had a lot of anticipation with your surgery. You are now beginning a period of recovery. For the next 2-8 weeks,

: : Tips for Preventing Complications By Ben Atchison, PhD, OTR, FAOTA Introduction Dementia can increase a person s chances of breaking a hip. After surgery on the hip there is an increased risk of further

Head Movements Stand up tall and look ahead. Slowly turn your head as far as you can to the right. Slowly turn your head as far as you can to the left. Repeat five times to each side. 44 Neck Movements

Home Care Services Fall Prevention Packet This packet will help you learn how to prevent falls. Even if you have no risks at this time, this is important information. Preventing Falls Your Risks Many factors

total hip replacement EXCERCISE BOOKLET patient s name: date of surgery: physical therapist: www.jointpain.md Get Up and Go Joint Program Philosophy: With the development of newer and more sophisticated

Aquatic Exercises: Upper Body Strengthening These exercises will strengthen your muscles in your arms, shoulders, chest and neck. Exercising in water allows you to have less stress on your joints. When

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How to Help Someone Who Uses a Wheelchair: Including Walkers, Crutches and Canes Caregiving Series: Volume 2 Objectives Upon completion of this training, the viewer will understand: Safe methods and special

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Page 1 of 6 About Us Mission and Vision Statements Services Services Offered at NRHN Locations Directions to Hospital and Clinics Testimonials Messages from Other Patients Education Articles, Links and

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An important part of being healthy is exercising regularly and staying active. PAL (Physical Activity Line) is a phone line, website and physical activity resource designed to help you make wise choices

Outdoor Gyms Dulwich Park By Amala Onuora and Laura Harvey Things to consider before you use the equipment Check with doctor before exercising if you have not exercised for a while or have a heart condition

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This booklet belongs to: HIP REPLACEMENT POST-OP EXERCISE BOOK YOU MUST BRING THIS BOOK WITH YOU TO ALL YOUR THERAPY APPOINTMENTS IN THE HOSPITAL AND TO ALL YOUR OUTPATIENT APPOINTMENTS You have an appointment

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Otago strength and balance training exercise programme An information guide for patients Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please

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Otago Exercise Program Edited Version Exercise Booklet Created by: Genesee County Coalition Supported by a grant from the Health Foundation for Western and Central New York Otago Exercise Program to Prevent

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Energy Conservation Patient information Your health is our life We all get worn out from time to time, but fatigue secondary to disability or ageing can really interfere with your ability to function independently.

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Total Knee Replacement (TKR) Rehabilitation The following leaflet provides a range of information to help you achieve the best recovery possible after your surgery. A big part of your recovery is exercising.

Prepared for: Prepared by: OrthoInfo Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle.

Outdoor Gyms Peckham Rye Park Things to consider before you use the equipment Check with doctor before exercising if you have not exercised for a while or have a heart condition It is best to do a short

Exercise 5 Pelvic tilt sitting Starting position: Sitting on a firm surface eg edge of the bed, on a stool/chair or even the loo! Sit upright with shoulders relaxed, head level and eyes looking straight

WARM UP & SOME USEFUL STRETCHES! Warming up and cooling down before and after training is essential to prevent injury during exercise. Therefore, we want to provide you with top exercise techniques that

Things to remember: Constant Leg Dominant Pain Self-Management Programme 1. Prolonged bed rest is not recommended and can hinder recovery 2. Schedule periods of activity with rest throughout the day 3.

How to go up and down stairs To go up a step or stairs l Step up with your good leg The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust l Then bring your operated leg up onto the same

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A New Hip for You YOUR GUIDE TO HIP REPLACEMENT What to do and what to expect before, during and after your surgery www.albertaboneandjoint.com www.covenanthealth.ca www.albertahealthservices.ca 07/12/2010

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